E-ISSN 1658-8088 | ISSN 1658-807X
 

Original Article
Online Published: 20 Dec 2024
 


Characterization of 3-Hydroxyisobutyryl-Coa Hydrolase (HIBCH) Deficiency in Bahrain: A Retrospective Cohort Study

Emtithal Al jishi, Zahra Al sahlawi, Huda Omran, Mohammed S. Almaliki, Faten Al mahroos, Heba Alkoheji.


Abstract
Background: 3-Hydroxyisobutyryl-CoA hydrolase (HIBCH) deficiency is a rare inborn error of valine catabolism associated with progressive neurological impairment. This retrospective cohort study aimed to characterize the clinical, biochemical, genetic, and respiratory chain profiles of HIBCH deficiency patients in Bahrain.
Methods: Eight HIBCH deficiency patients were evaluated from a larger cohort of 90 individuals assessed for Leigh-like syndrome at the metabolic clinic of Salmaniya Medical Complex, Bahrain, between 2000-2020. Clinical features, neuroimaging findings, biochemical profiles, genetic analyses, and respiratory chain activities were systematically examined.
Results: Developmental delay and acute encephalopathy were the main presenting symptoms. Neuroimaging demonstrated heterogeneous, often progressive basal ganglia and white matter changes. Biochemical profiling revealed elevated C4-OH acylcarnitine, with variable abnormalities in blood lactate, amino acids, and respiratory chain complexes. Genetic analysis identified a novel homozygous HIBCH variant (c.860A>G, p.Asp287Gly) in all patients. Despite clinical interventions, 5 of 8 patients exhibited severe, persistent developmental delay, and 3 patients succumbed to sepsis.
Conclusion: This study provides comprehensive characterization of the clinical, biochemical, and genetic changes in HIBCH deficiency patients in Bahrain, including the identification of a novel genetic variant. The progressive, debilitating nature of this disorder underscores the critical importance of early diagnosis and tailored management strategies for this rare metabolic condition.

Key words: HIBCH Deficiency, Leigh/Leigh-Like Syndrome, C4-OH, Valine Metabolism, Children.


 
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How to Cite this Article
Pubmed Style

jishi EA, sahlawi ZA, Omran H, Almaliki MS, mahroos FA, Alkoheji H. Characterization of 3-Hydroxyisobutyryl-Coa Hydrolase (HIBCH) Deficiency in Bahrain: A Retrospective Cohort Study. JBCGenetics. Online First: 20 Dec, 2024. doi:10.24911/JBCGenetics.183-1722167696


Web Style

jishi EA, sahlawi ZA, Omran H, Almaliki MS, mahroos FA, Alkoheji H. Characterization of 3-Hydroxyisobutyryl-Coa Hydrolase (HIBCH) Deficiency in Bahrain: A Retrospective Cohort Study. https://www.jbcgenetics.com/?mno=211703 [Access: December 21, 2024]. doi:10.24911/JBCGenetics.183-1722167696


AMA (American Medical Association) Style

jishi EA, sahlawi ZA, Omran H, Almaliki MS, mahroos FA, Alkoheji H. Characterization of 3-Hydroxyisobutyryl-Coa Hydrolase (HIBCH) Deficiency in Bahrain: A Retrospective Cohort Study. JBCGenetics. Online First: 20 Dec, 2024. doi:10.24911/JBCGenetics.183-1722167696



Vancouver/ICMJE Style

jishi EA, sahlawi ZA, Omran H, Almaliki MS, mahroos FA, Alkoheji H. Characterization of 3-Hydroxyisobutyryl-Coa Hydrolase (HIBCH) Deficiency in Bahrain: A Retrospective Cohort Study. JBCGenetics, [cited December 21, 2024]; Online First: 20 Dec, 2024. doi:10.24911/JBCGenetics.183-1722167696



Harvard Style

jishi, E. A., sahlawi, . Z. A., Omran, . H., Almaliki, . M. S., mahroos, . F. A. & Alkoheji, . H. (2024) Characterization of 3-Hydroxyisobutyryl-Coa Hydrolase (HIBCH) Deficiency in Bahrain: A Retrospective Cohort Study. JBCGenetics, Online First: 20 Dec, 2024. doi:10.24911/JBCGenetics.183-1722167696



Turabian Style

jishi, Emtithal Al, Zahra Al sahlawi, Huda Omran, Mohammed S. Almaliki, Faten Al mahroos, and Heba Alkoheji. 2024. Characterization of 3-Hydroxyisobutyryl-Coa Hydrolase (HIBCH) Deficiency in Bahrain: A Retrospective Cohort Study. Journal of Biochemical and Clinical Genetics, Online First: 20 Dec, 2024. doi:10.24911/JBCGenetics.183-1722167696



Chicago Style

jishi, Emtithal Al, Zahra Al sahlawi, Huda Omran, Mohammed S. Almaliki, Faten Al mahroos, and Heba Alkoheji. "Characterization of 3-Hydroxyisobutyryl-Coa Hydrolase (HIBCH) Deficiency in Bahrain: A Retrospective Cohort Study." Journal of Biochemical and Clinical Genetics Online First: 20 Dec, 2024. doi:10.24911/JBCGenetics.183-1722167696



MLA (The Modern Language Association) Style

jishi, Emtithal Al, Zahra Al sahlawi, Huda Omran, Mohammed S. Almaliki, Faten Al mahroos, and Heba Alkoheji. "Characterization of 3-Hydroxyisobutyryl-Coa Hydrolase (HIBCH) Deficiency in Bahrain: A Retrospective Cohort Study." Journal of Biochemical and Clinical Genetics Online First: 20 Dec, 2024. Web. 21 Dec 2024 doi:10.24911/JBCGenetics.183-1722167696



APA (American Psychological Association) Style

jishi, E. A., sahlawi, . Z. A., Omran, . H., Almaliki, . M. S., mahroos, . F. A. & Alkoheji, . H. (2024) Characterization of 3-Hydroxyisobutyryl-Coa Hydrolase (HIBCH) Deficiency in Bahrain: A Retrospective Cohort Study. Journal of Biochemical and Clinical Genetics, Online First: 20 Dec, 2024. doi:10.24911/JBCGenetics.183-1722167696





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